| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
30,058 |
11,263 |
$788K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,126 |
13,593 |
$624K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,638 |
6,251 |
$378K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,270 |
2,089 |
$141K |
| 97161 |
|
1,998 |
1,928 |
$102K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
835 |
802 |
$91K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,763 |
1,068 |
$55K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
226 |
217 |
$45K |
| 20610 |
|
1,104 |
916 |
$33K |
| 73630 |
|
1,647 |
1,311 |
$31K |
| 73110 |
|
958 |
774 |
$22K |
| 73610 |
|
1,002 |
848 |
$19K |
| 73562 |
|
900 |
752 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
671 |
642 |
$18K |
| 97035 |
|
1,754 |
642 |
$13K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
244 |
231 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
295 |
277 |
$9K |
| 73030 |
|
475 |
415 |
$8K |
| 97165 |
|
136 |
132 |
$7K |
| 95886 |
|
77 |
76 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
76 |
70 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
527 |
194 |
$5K |
| 11721 |
|
168 |
161 |
$4K |
| 73564 |
|
84 |
66 |
$3K |
| 73502 |
|
64 |
62 |
$2K |
| 97016 |
|
335 |
109 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$1K |
| 73130 |
|
44 |
39 |
$1K |
| 73140 |
|
46 |
40 |
$1K |
| 20611 |
|
17 |
16 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
177 |
170 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
172 |
163 |
$869.04 |
| 72114 |
|
14 |
14 |
$553.15 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
12 |
12 |
$295.89 |
| 0054T |
|
44 |
40 |
$0.00 |
| 99024 |
|
949 |
786 |
$0.00 |
| A9270 |
Non-covered item or service |
17 |
12 |
$0.00 |